Diagnosis

You will be asked about your symptoms and medical history. A physical exam will be done. Your anus and rectum will be examined.

Images may be taken of your body structures. This can be done with:

Defecography—series of x-rays of the rectum and anus taken during a bowel movement

Colonoscopy
—visual exam of the rectum and colon (large intestine) using a flexible tube with a tiny camera on the end

An anorectal manometry may also be done to measure the strength of the anal sphincter muscles, sensation in the rectum, and the reflexes needed for normal bowel movement.

Treatment

Prolapse in children tends to go away on its own. In adults, gentle pressure to the rectum can sometimes push the rectum back into place. The sooner the condition is treated, the better the outcome. Talk with your doctor about the best plan for you.

Medications

Certain medications may help to reduce pain and straining during bowel movements. Your doctor may recommend stool softeners and bulk agents.

Surgery

In some cases, surgery may be needed. Surgeries used to treat rectal prolapse include:

Laparoscopic rectopexy—A laparoscope (a tiny camera) is placed through a small incision in the abdomen. The rectum is secured in place with stitches.

Perineal proctectomy—An incision will be made in the rectum. Tissue that is sticking out of the anus is removed.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.